Responses to a few questions Jun 11, 2025

Hopefully, in the coming days, there will be a box allowing you to comment or ask questions below each post. Here are some questions that I received

I don't understand, since the first page shown 61,...

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27, clinical diagnosis: probable dominant hemisphere TLE Jun 10, 2025

The following are the same page represented on 3 different montages

 

Referential montage

 

Bipolar AP montage:

 

 

Coronal montage:

 

 While the above resembles spike-and-wave during s...

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6y, "Absences?" Jun 09, 2025

What do you make of these waves?

The same page, viewed on 3 different montages:

Referential:

 

Bipolar anterior-posterior:

 

Coronal:

 

 

 

The following 3 images portray the same ...

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Quote of the day Jun 09, 2025

"It is better to let 100 criminals go free than to imprison one innocent men". Benjamin Franklin

This applies to EEG interpretation too. I would suggest that "It is better to let 100 people with epil...

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Red Alert 2 Jun 09, 2025

Here is another example of a "wicked spike":

 

 Try and store this image and those below in your memory and try to ensure that:


1. You will have a high index of suspicion for these waves when you...

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65 years old, talking, very poor history (encephalopathy) Jun 06, 2025

 The page above is unremarkable

 

Notice how the EEG recording may be normal at times, despite a very obvious encephalopathy at the bedside

 

In the middle of the page above there is a burst...

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Seizure or not? Jun 06, 2025

These are consecutive pages

If you think the above is obvious, when I was an epilepsy fellow seeing patients in outpatients, I was interrupted by a telephone call from one of the technologist ups...

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61, amnestic events Jun 06, 2025

Epilepsy?

In the page above, notice how well-developed alpha is over the temporal regions, especially on the left, in the first few seconds of the page

Figure 2:

 In the first few seconds of th...

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56y, epilepsy, MRI normal, high functioning Jun 05, 2025

What do you make of this apiculate wave in the early hours of the morning (01h26)?

In the above bipolar montage, the large deflection in channels 12 and 16 can only be explained by a discharge th...

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21y, first seizures Jun 04, 2025

She developed her first neurological event four days ago, when she got up, felt dizzy and heard a high-pitched ringing sound, her vision appeared slightly blurred, she became an amnestic, regained her...

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59y, first seizure Jun 04, 2025

No minor seizures ever, there was no identifiable precipitate for this seizure. Why do you think this patient had a seizure for the first time at 59 years? TCS, without warning

Referential

 

Re...

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27y, proven left TLE Jun 01, 2025

This EEG below is of interest and reinforces the point made in this post: 41y, TLE

 

On this occasion the patient is awake. F7, T3, M1, F8, T4 and M2 are excluded from the reference. There is a sp...

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